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AVITA PHARMACY 1039
CHC12863-00 St. Thomas Community Health Center, Inc.
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Covered Entity Details
Entity Name
St. Thomas Community Health Center, Inc.
Subdivision Name
St Thomas CHC at 1936-1938 Magazine Street
Type
HRSA-Funded Health Center
340B ID
CHC12863-00
Entity Address
1936 Magazine St
New Orleans, LA 70130
Grant Number
H80CS12863
Participating Start Date
1/1/2012
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
AVITA PHARMACY 1039
Pharmacy Address
1631 ELYSIAN FIELDS AVE STE 200
NEW ORLEANS, LA 70117-8208
Pharmacy Comments
Contract Details
Approval Date
7/15/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Donald Erwin, CEO
(504) 529-5558
Contract Pharmacy Representative
Avita Pharmacy Solution
mark Roth, Senior Account Executive
(504) 908-5932
Signed By Date
7/15/2019
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